Department of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, TX, USA.
Department of Rehabilitation Counseling, University of Texas Southwestern, Dallas, TX, USA.
Disabil Rehabil. 2020 Jan;42(2):255-260. doi: 10.1080/09638288.2018.1496487. Epub 2018 Nov 17.
Establish the factor structure of the Behavioral Assessment Screening Tool (BAST), a self-reported emotional/behavioral symptom measure for adults with traumatic brain injury (TBI). Community. Community-dwelling adults with moderate-severe TBI ( = 162; = 110). Assessment development (cohort study). Behavioral Assessment Screening Tool. The original BAST included 61 items (55 primary, six secondary), an Environmental Context checklist including recent major life events, and three open-ended questions about other relevant factors. Two rounds of pilot testing and exploratory factor analysis of the BAST ( = 162; = 110) reduced the total items to 37 primary items and six secondary coping items. The final BAST had a five-factor solution with communalities ranging from 0.323 to 0.771. Internal consistency reliabilities ranged from acceptable to excellent for all factors (Cronbach's = 0.76-0.90). The items related to coping, given only to those endorsing stress, had a two-factor solution with communalities ranging from 0.224 to 0.605, but demonstrated acceptable to poor internal consistency (Cronbach's = 0.46-0.68). Participants rated ease of use and overall satisfaction with completing the scale as high, with mean scores of 6.42 and 6.22 out of 7, respectively. The BAST, a measure of behavioral and emotional symptoms after TBI, has a multidimensional factor structure with evidence of good internal consistency reliability. Future work will evaluate the convergent, discriminant, and discriminative validity of the BAST and employ item response theory analyses to further develop a short version for mobile health assessment.Implications for RehabilitationLong-term monitoring of behavioral and emotional symptoms after traumatic brain injury could improve clinical management and reduce negative participation and quality of life outcomes.The Behavioral Assessment Screening Tool demonstrates reliability for use among adults with chronic traumatic brain injury, through its factor structure and internal consistency reliabilities, to measure chronic behavioral and emotional symptoms.The Behavioral Assessment Screening Tool is a screening tool to identify potential behavioral and emotional problems that individuals with chronic traumatic brain injury may be experiencing; it could be implemented in a proactive, rather than reactive, system for long-term monitoring of these symptoms to improve early identification of clinical disorders.
建立行为评估筛查工具（BAST）的因素结构，这是一种用于评估创伤性脑损伤（TBI）成人情绪/行为症状的自我报告测量工具。社区。社区居住的中重度 TBI 成人（ = 162； = 110）。评估开发（队列研究）。行为评估筛查工具。原始的 BAST 包括 61 个项目（55 个主要项目，6 个次要项目），一个包括最近重大生活事件的环境背景清单，以及三个关于其他相关因素的开放式问题。经过两轮试点测试和 BAST 的探索性因素分析（ = 162； = 110），将总项目数减少到 37 个主要项目和 6 个次要应对项目。最终的 BAST 具有五因素解决方案，共性范围为 0.323 至 0.771。所有因素的内部一致性信度范围均为可接受至优秀（Cronbach's = 0.76-0.90）。与应对相关的项目，仅对那些表示有压力的人进行评估，具有两个因素解决方案，共性范围为 0.224 至 0.605，但内部一致性可接受至较差（Cronbach's = 0.46-0.68）。参与者对使用的易用性和完成量表的整体满意度评分均较高，分别为 7 分制的 6.42 分和 6.22 分。BAST 是一种评估 TBI 后行为和情绪症状的测量工具，具有多维因素结构，具有良好的内部一致性可靠性证据。未来的工作将评估 BAST 的收敛性、区分性和判别有效性，并采用项目反应理论分析进一步开发用于移动健康评估的简短版本。康复的意义长期监测创伤性脑损伤后的行为和情绪症状可以改善临床管理并降低负面参与和生活质量结果。行为评估筛查工具通过其因素结构和内部一致性可靠性，为慢性创伤性脑损伤成人的使用提供了可靠性，用于测量慢性行为和情绪症状。行为评估筛查工具是一种筛查工具，用于识别慢性创伤性脑损伤患者可能经历的潜在行为和情绪问题；它可以在主动而不是被动的系统中实施，以长期监测这些症状，从而更早地发现临床障碍。
